(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient. (Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011).
A nurse must be able to perform activities like moving a patient, lifting heavy equipment, being on their feet for much of their shift, etc. The nursing profession can be very taxing on a person’s body and society as a whole is seeing the effects of this. Older nurses who have been in the field for a long time are no longer able to perform these tasks and it is causing them to change their area of expertise, or even leave their profession entirely. This has negatively impacted effective health care delivery and proper patient-centered care because these nurses are not able to effectively help their patients. Research shows that there are a large amount of nurses that are near or at the retirement age.
Women encounter greater problems than men with regards to adjusting work and private life. Family, care and household duties are not equally shared. More women than men choose to take parental leave as women often borne the task of taking care their family members. In addition, the lack of facilities for childcare and elderly care have caused women to leave the workforce. According to a survey of working parents done by Pew Research Center (2015), it is found that 39 percent of mothers took time off to take care of their children or family and 27 percent responded that they have to quit their career.
(2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected. In addition, the same study reveals that nurses and other health care providers in the intensive care unit are more likely to leave their job due to moral distress as compared to other hospital settings. Research has shown that moral distress and ethical issues can have profound impacts on health care providers, such as patient safety, workplace dissatisfaction, and emotional suffering. As a practicing ICU nurse, I also have my fair share of
If a nurse has not had adequate sleep, they will be putting themselves and their patients at risk. "The number of errors made by nurses increases when nurses work more than 12 hours in a shift or more than 40 hours per week (Lally, 2009). Nurses also play an important role in tracking down and correcting medical errors, "nurses may be the first and sometimes last line of defense in preventing errors before they reach the patient" (Lally, 2010). When sleep deprived your memory and cognitive abilities aren't functioning as normal, and as a nurse you need these skills functioning properly and quickly. Motor vehicle accidents are also a terrible risk they could take after working those long hours.
These two texts confirm the significance of mental health, by showing how badly patients suffer when they are abused and treated improperly. This is done with specific details of instances within each text. This is demonstrated when patients deteriorate throughout the duration of “Ten Days in a Mad-House” and with the narrator in “The Yellow Wallpaper” going insane in the end (Gilman 310-312). After reading both texts, the reader becomes better at understanding that mental health mistreatment and abuse have an irreversible impact on patients in mental health facilities. Furthermore, the reader is able to see the mistreatment and abuse of mental health from two angles, which allows him or her to view each text from the point of view of the other
Abuse in nursing homes is more common than people think. The frequency of mistreatment in nursing homes and the role that staffing and staff training may play in the prevention of such mistreatment is explored in the article “Prevention of Elder Mistreatment in Nursing Homes: Competencies for Direct-Care Staff” by Dana Dehart. While nursing home residents are often out-of-sight thus out-of-mind for many in society, their population is significant. Dehart (2009) states, “There are approximately 18,000 nursing homes in the United States with an over-all 1.6 million inhabitants, and numbers are anticipated to multiply to 6.7 million occupants by 2045” (p. 360). Under the management of other medical staff, nurses are usually the ones helping residents
that 60% of those with severe burnout were contemplating leaving the nursing profession. In focus, based on the study of Moss, M. et al. (2016), 25-33% of critical care nurses manifested severe signs and symptoms of burn out syndrome specifically emotional exhaustion, lack of personal accomplishment and depersonalization leading the list. However, burnout is only one of the two factors to determine the vulnerability of health care workers in experiencing a bigger problem: compassion fatigue. For the researcher, nurses enter the profession because they want to make a change to the lives of their patient.
Studies show that the hospital stay of patients is usually prolonged approximately 2 more days due to these medication errors. As a result, this increases costs approximately $2000-$2500 dollars per patient (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013). The patients’ physical health is at risk, including the ability to function with everyday activities, and their mental health could be altered, potentially causing anxiety and other psychological symptoms (Rejane & Goldim, 2013). Depending on the type of medication administration error performed, the patient could potentially be physically harmed, incapable of performing activities of daily living, or could potentially die. The elderly are the number one population to have death related to a medication administration errors (Brunetti & Suh, 2012).
In this country, the healthcare system is struggling to incorporate a proper formula to insure an adequate transitions of care between different facilities. Due to these issues, hospitals and community practices are trying to develop better transitions of care systems to coordinate better care with their patients. Hospital readmission rates are becoming alarming, with almost 20% of discharged elderly patients returning to hospitals within a month for the same medical conditions (1). These readmission rates both hurt the hospitals, and more importantly, the patients involved; so, an effective system must be implemented that could ease this transition of care and help reduce readmission rates and healthcare expenses. The National Transitions
To start off, workplace stress can directly cause health problems on the subject. Stress levels are directly related to the hormones glucocorticoids, which can potentially cause health issues such as obesity. In fact, stressful jobs increase the chance of having a cardiovascular event by 38% (Porath, 2015). Another workplace stress consequence that Porath explores is the loss of focus and concentration of an employee that is in or has been in very stressful situations. A survey done on over 4,500 doctors, nurses and other hospital personnel shows that 71% relate rude behavior in the workplace with medical errors, and 27% relate this behavior to a patient’s death (Porath, 2015).
After a 12 hour shift, nurses are tired and just wants to give report and go home. According to Horrigan, Lightfoot, Larivière, and Jacklin (2013), working long hours can cause nurse illness and injury, fatigue and safety problems, feelings of burnout, and depression. This causes the nurses to get discouraged from having to say longer than necessary checking the same patients at the end of each shift. The result of this is neglecting to comply with the policy and a failure in the skin assessment sign-off. Using incrementalism as a policy making mode, skin assessment sign-off at shift change can be successful.